Forms

Express Assumption of Risk Associated with Recreational Activities.

I, ______________________________________hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with the recreational activity generally described as Paintball/Airsoft/Laser Tag , including the rental of equipment and transportation associated therewith of which I am about to engage in. Inherent hazards and risks include but are not limited to:

1. Risk of injury from the activity and equipment utilized is significant including the potential for permanent disability and death.

2. Possible equipment failure and/or malfunction of my own or other’s equipment.

3. This activity takes place outdoors and therefore includes risks associated with exposure to elements, excessive heat, hypothermia, impact of the body upon the water, injection of water into my body orifices, encountering objects either natural or man-made, exposure to animals with the attendant risks of kicking, biting, shying away, running off or otherwise moving in an unanticipated manner causing injury and/or death.

4. My own negligence and/or the negligence of others, including but not limited to operator error and guide decision making including misjudging terrain, rapids, weather, trails, and route location.

5. Attack by or encounter with insects, reptiles, and/or animals.

6. Accidents or illness occurring in remote places where there are no available medical facilities.

7. Fatigue, chill, and/or dizziness, which may diminish my/our reaction time and increase the risk of accident.

*I understand the description of these risks is not complete and that unknown or unanticipated risks may result in injury, illness, or death

Release of Liability, Waiver of Claims and Indemnity Agreement

In consideration for being permitted to participate in the activity(ies) described above the related activities, I hereby agree, acknowledge and  appreciate that.

                1. I HEREBY RELEASE AND HOLD HARMLESS WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, 
                or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE, the following named 
                 per sons or entities, herein referred to as releases.

                2. To release the releasees, Pahrump Paintball Complex (PPC), Pahrump Party Supply, Robert & Lisa Holleman, their officers,

                directors, employees, representatives, agents, and volunteers, and vessels from     liability and responsibility whatsoever and

                for any claims or causes of action that I, my estate, heirs, survivors, executors, or assigns may have for personal injury,

                property damage, or wrongful death arising from the above activities whether caused by active or passive negligence of the

                releases or otherwise. By executing this document, I agree to hold the releasees harm less and indemnify there in

                conjunction with any injury, disability, death, or loss or damage to person or property that may occur as a result of engaging

                in the above activities.

                3. By entering into this Agreement, I am not relying on any oral or written representation or statements made by the releases,

other than  what is set forth in this Agreement. I further agree to continue this waiver for all subsequent visits to this facility for

the purpose on engaging in paintball activity and herein extend this release  as the same through 3/1/2011

.MEDICAL PERMISSION AUTHORIZATION

If the participant is of minority age, the undersigned parent or guardian hereby gives permission for PPC to authorize emergency medical treatment as may be deemed necessary for the child named below while participating in paintball games.

This release shall be binding to the fullest extent permitted by law. If any provision of this release is found to be unenforceable, the remaining terms shall be enforced

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE PPC FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.   I FULLY UNDERSTAND  THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, AND I FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.   I  ALSO  HEREIN  STATE  THAT  I  HAVE  READ  THE  FIELD  SAFETY  RULES AND HAVE ATTENDED THE FIELD SAFETY CLASS AND THAT I UNDERSTAND AND AGREE TO ABIDE BY THESE RULES.

______________________________    ______________    ______    ______________________________________  _________________

Name of Participant, PRINT ONLY         Date of Birth           Age            Signature of Participant                                       Today’s date                                              

Address: ______________________________________________  City, State & Zip Code: ________________________________

Phone Number:__________________________  E-mail: __________________________________________________________

For Participants of Minority Age, this is the clarify that I, as Parent, Guardian, Temporary Guardian with legal responsibility for this participant, do consent and agree not only to his/her release of all releasees, but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heir, assigns, and next of kin.

__________                  _____________________________________             ______________________________________________

Date                              Signature of Parent or adult Legal Guardian                           Name of Parent or adult legal Guardian Print ONLY

If participant is a minor, and by their signature They on my behalf release all claims that both They and I have